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768.28 Tm (Information about the care home)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 0.95294 0.95294 0.95294 RG 20.58 w 31.2 746.8 m 274.61 746.8 l S 0.001 w 1 1 1 RG 20.58 w 276.86 746.8 m 580.25 746.8 l S 0.001 w 0.95294 0.95294 0.95294 RG 73.32 w 31.2 697.6 m 274.61 697.6 l S 0.001 w 1 1 1 RG 73.32 w 276.86 697.6 m 580.25 697.6 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 648.4 m 274.61 648.4 l S 0.001 w 1 1 1 RG 20.58 w 276.86 648.4 m 580.25 648.4 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 625.57 m 274.61 625.57 l S 0.001 w 1 1 1 RG 20.58 w 276.86 625.57 m 580.25 625.57 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 602.74 m 274.61 602.74 l S 0.001 w 1 1 1 RG 20.58 w 276.86 602.74 m 580.25 602.74 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 579.91 m 274.61 579.91 l S 0.001 w 1 1 1 RG 20.58 w 276.86 579.91 m 580.25 579.91 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 735.39 m 582.46 735.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 659.82 m 582.46 659.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 636.98 m 582.46 636.98 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 614.16 m 582.46 614.16 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 591.33 m 582.46 591.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 758.22 m 582.46 758.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 735.39 m 582.46 735.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 659.82 m 582.46 659.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 636.98 m 582.46 636.98 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 614.16 m 582.46 614.16 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 591.33 m 582.46 591.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 568.49 m 582.46 568.49 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 759.29 m 30.07 567.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 275.73 759.29 m 275.73 567.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 759.29 m 581.38 567.42 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 742.03 Tm (Name of care home:)Tj ET /F2 12 Tf BT 1 0 0 1 279.71 742.03 Tm (Stonehaven)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 719.2 Tm (Address:)Tj ET /F2 12 Tf BT 1 0 0 1 279.71 719.2 Tm (23 Carter Street )Tj ET /F2 12 Tf BT 1 0 0 1 279.71 701.62 Tm (Sandown)Tj ET /F2 12 Tf BT 1 0 0 1 279.71 684.04 Tm (Isle Of Wight)Tj ET /F2 12 Tf BT 1 0 0 1 279.71 666.46 Tm (PO36 8DG)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 643.63 Tm (Telephone number:)Tj ET /F2 12 Tf BT 1 0 0 1 279.71 643.63 Tm (01983402213)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 620.8 Tm (Fax number:)Tj ET /F2 12 Tf BT 1 0 0 1 279.71 620.8 Tm (01983405215)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 597.97 Tm (Email address:)Tj ET /F2 12 Tf BT 1 0 0 1 279.71 597.97 Tm (rayslegs@aol.com)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 575.14 Tm (Provider web address:)Tj ET /F2 10 Tf BT 1 0 0 1 28.35 539.2 Tm ()Tj ET 0.95294 0.95294 0.95294 RG 35.16 w 31.2 512.41 m 353.25 512.41 l S 0.001 w 1 1 1 RG 35.16 w 355.5 512.41 m 565.9 512.41 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 436.64 m 353.25 436.64 l S 0.001 w 1 1 1 RG 20.58 w 355.5 436.64 m 565.9 436.64 l S 0.001 w 0.95294 0.95294 0.95294 RG 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(category)Tj ET /F2 12 Tf BT 1 0 0 1 302.35 271.14 Tm (0)Tj ET /F2 12 Tf BT 1 0 0 1 434.35 271.14 Tm (27)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 233.73 Tm (physical disability)Tj ET /F2 12 Tf BT 1 0 0 1 302.35 233.73 Tm (27)Tj ET /F2 12 Tf BT 1 0 0 1 434.35 233.73 Tm (0)Tj ET 0.95294 0.95294 0.95294 RG 109.98 w 32.32 149.46 m 564.77 149.46 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 183.88 m 567.8 183.88 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 161.04 m 568.1 161.04 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 206.71 m 567.8 206.71 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 183.88 m 568.1 183.88 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 161.04 m 568.1 161.04 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 94.47 m 568.1 94.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 207.78 m 30.07 93.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.72 207.78 m 566.72 93.4 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 190.52 Tm (Conditions of registration:)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 167.69 Tm (The maximum number of service users to be accommodated is 27.)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 144.86 Tm (The registered person may provide the following category/ies of service only: Care )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 130.28 Tm (home only \(PC\) - to service users of the following gender: Either Whose primary care )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 115.7 Tm (needs on admission to the home are within the following categories: Old age, not )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 101.12 Tm (falling within any other category \(OP\) Dementia \(DE\) Physical Disability \(PD\).)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 79.68 m 315.25 79.68 l S 0.001 w 1 1 1 RG 20.58 w 317.5 79.68 m 346.55 79.68 l S 0.001 w 20.58 w 348.8 79.68 m 377.9 79.68 l S 0.001 w 20.58 w 380.15 79.68 m 409.2 79.68 l S 0.001 w 20.58 w 411.45 79.68 m 440.55 79.68 l S 0.001 w 20.58 w 442.8 79.68 m 471.9 79.68 l S 0.001 w 20.58 w 474.15 79.68 m 503.2 79.68 l S 0.001 w 20.58 w 505.45 79.68 m 534.55 79.68 l S 0.001 w 20.58 w 536.8 79.68 m 565.9 79.68 l S 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(3)Tj ET /F2 12 Tf BT 1 0 0 1 453.53 74.92 Tm (2)Tj ET /F2 12 Tf BT 1 0 0 1 484.86 74.92 Tm (0)Tj ET /F2 12 Tf BT 1 0 0 1 516.18 74.92 Tm (1)Tj ET /F2 12 Tf BT 1 0 0 1 547.53 74.92 Tm (0)Tj ET endstream endobj 8 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 9 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (3)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 529.07 16.38 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 547.36 16.38 Tm (10)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 0.95294 0.95294 0.95294 RG 17 w 31.2 776.72 m 565.9 776.72 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 767.1 m 568.1 767.1 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 768.18 m 30.07 627.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 768.18 m 567.02 627.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 786.35 m 568.1 786.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 767.1 m 568.1 767.1 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 628.85 m 568.1 628.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 787.43 m 30.07 766.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 787.43 m 567.02 766.02 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 773.16 Tm (Brief description of the )Tj ET /F2 12 Tf BT 1 0 0 1 177.31 773.16 Tm (care home)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 753.91 Tm (Stonehaven is a large and spacious care home situated in a pleasant area of Sandown )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 736.91 Tm (close to the seafront. The accommodation is on two floors with access provided by a )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 719.91 Tm (passenger lift or short stair lift. The building is accessible. All bedrooms are for single )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 702.91 Tm (occupancy, some with ensuite facilities and some with sea views. There is a car park to )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 685.91 Tm (the front of the home and large garden with ramped access from the lounge. Details of )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 668.91 Tm (fees and other charges are available from the )Tj ET /F2 12 Tf BT 1 0 0 1 315.8 668.91 Tm (home.)Tj ET /F2 12 Tf BT 1 0 0 1 353.88 668.91 Tm ( )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 651.91 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.5 634.91 Tm ()Tj ET endstream endobj 10 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 11 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (4)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 529.07 16.38 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 547.36 16.38 Tm (10)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 745.27 Tm (What we found:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 691.53 w 31.2 389.44 m 580.26 389.44 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 736.33 m 582.46 736.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 42.55 m 582.46 42.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 737.41 m 30.07 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 737.41 m 581.38 41.47 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 720.15 Tm (We made an unannounced visit to the home on Monday 19 July 2010 as part of our )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 705.57 Tm (monitoring processes. Two inspectors were in the home between 11am and 6pm and )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 690.98 Tm (spoke to residents, care staff, the manager and deputy manager and the cook. We looked )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 676.41 Tm (at care plans and care records, medication records, staff training and recruitment )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 661.83 Tm (records, health and safety records and quality assurance systems.)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 647.24 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.05 632.66 Tm (We previously visited the home in October 2009 and March 2010 when we made )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 618.09 Tm (regulatory requirements because of our concerns that people living in the home were at )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 603.51 Tm (risk of poor outcomes to their health and well being. Following our visit in March 2010 the )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 588.92 Tm (home sent us an improvement plan on the action they had taken to improve practice in )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 574.34 Tm (the home for the benefit of the residents.)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 559.77 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.05 545.18 Tm (We previously had concerns about the management of the home and the effect of the )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 530.6 Tm (lack of consistent and organised management of the service on the outcomes for people )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 516.03 Tm (living in the home. Since we visited the home in March 2010 there has been a change to )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 501.45 Tm (the management of the home. The registered provider \(Mrs Cowen\) is now in day to day )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 486.86 Tm (charge of the home. In the period between March and July 2010 the manager has put in )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 472.29 Tm (place a new system of person centred care planning in liaison with an independent care )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 457.7 Tm (consultant. In addition, the home now has clear lines of delegation and responsibility for )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 443.13 Tm (the running of the service; shared between the manager, deputy manager and senior )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 428.55 Tm (care staff.)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 413.96 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.05 399.39 Tm (We looked at the care records for six residents. We had previously made regulatory )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 384.8 Tm (requirements with regard to failures to carry out comprehensive pre-admission )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 370.23 Tm (assessments, failure to ensure that care staff have clear written guidance on how they )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 355.64 Tm (are to manage risks or events in the provision of care, and failure to make suitable )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 341.07 Tm (arrangements for a safe system for moving and handling people who live in the care )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 326.48 Tm (home.)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 311.9 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.05 297.33 Tm (We found evidence that the registered person has pro-actively addressed these concerns )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 282.74 Tm (and a new and organised system for identifying and meeting care needs has been put )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 268.17 Tm (into place. We found evidence that care plans are being reviewed in consultation with )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 253.59 Tm (residents and their families or representatives to ensure that needs are being met and )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 239.01 Tm (people are receiving care in the way they prefer.)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 224.43 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.05 209.85 Tm (We found that care staff have been supported to be involved in and develop care plans )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 195.26 Tm (and the daily records of care provide a clear and comprehensive record of the care that )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 180.68 Tm (people are receiving. For example, in liaison with the care consultants, staff have been )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 166.1 Tm (supported to develop good practice in report writing and the daily records show an )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 151.52 Tm (organised and positive system for recording the care that people receive each day. This )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 136.95 Tm (information is used to inform the regular review of the plan of care.)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 122.36 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.05 107.79 Tm (The care plans that we looked at generally provide care staff with clear guidance about )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 93.21 Tm (how people are to be supported with mobility, personal care, continence care, and care to )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 78.63 Tm (prevent the risk of developing pressure sores. The care plans also contain important )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 64.04 Tm (information about people's interests and what they like to do. However, some )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 49.47 Tm (discrepancies were found, for example; the needs of one service user had been identified )Tj ET endstream endobj 12 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 13 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (5)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 529.07 16.38 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 547.36 16.38 Tm (10)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 741.55 w 31.2 414.45 m 580.26 414.45 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 786.35 m 582.46 786.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 42.55 m 582.46 42.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 787.43 m 30.07 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 787.43 m 581.38 41.47 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.8 775.41 Tm (in the initial assessment - making a preference for female care staff to provide personal )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 760.84 Tm (care but this information had not been transferred to the care plan. In another care plan )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 746.26 Tm (staff had not carried out an evaluation for pressure care. Another care plan had identified )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 731.67 Tm (a need for a good fluid intake to promote good health; however, the care plan did not )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 717.09 Tm (provide clear and specific guidance for care staff on how this was to be achieved. These )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 702.52 Tm (issues were discussed with the manager. We were told that the process of evaluating and )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 687.93 Tm (reviewing the new care plans is ongoing. This is to ensure that care plans are always up )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 673.35 Tm (to date and provide clear guidance for care staff, and the needs and choices of individuals )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 658.78 Tm (are respected and people receive care in the way they choose.)Tj ET /F2 12 Tf BT 1 0 0 1 31.8 644.2 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 31.8 629.61 Tm (We observed practice in the home for people who require specialist equipment or support )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 615.03 Tm (to move around the home. This was provided in a discreet and safe way and care staff )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 600.46 Tm (were able to clearly demonstrate that they were aware of safe practice and the need to )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 585.88 Tm (provide care in a way that promotes dignity at all times. For example, one person who )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 571.29 Tm (required a wheelchair was safely and discreetly assisted by two members of staff and we )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 556.72 Tm (observed that footplates were always used with wheelchairs to ensure people's safety and )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 542.14 Tm (in line with good practice guidance. Care staff were able to clearly demonstrate that they )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 527.55 Tm (were familiar with safe practice when using a hoist to support residents who need this )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 512.97 Tm (assistance.)Tj ET /F2 12 Tf BT 1 0 0 1 31.8 498.39 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 31.8 483.82 Tm (During our last visit we made a regulatory requirement about how people receive their )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 469.23 Tm (medicines because we found that one person had not received a medicine that had been )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 454.65 Tm (prescribed by their doctor. We found evidence that prompt action is now taken to liaise )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 440.08 Tm (with GP's if there are any concerns about medicines that have been prescribed for )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 425.49 Tm (individual residents. The home are now following written policies and procedures to )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 410.92 Tm (ensure that people who are able to manage their own medications are assessed as being )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 396.33 Tm (safe to do this. The systems for receiving, storing and dispensing medication are safely )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 381.76 Tm (organised with systems to ensure a correct audit trail of all medication received into the )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 367.17 Tm (home. This means that all medication is accounted for and people receive their medicine )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 352.6 Tm (in the way that has been prescribed by their doctor.)Tj ET /F2 12 Tf BT 1 0 0 1 31.8 338.02 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 31.8 323.43 Tm (The last report in March 2010 identified a need for the staff to receive training )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 308.86 Tm (appropriate for the work they do. In the interests of meeting the care needs of people )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 294.27 Tm (with dementia, and to ensure that staff understand how the Mental Capacity Act may )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 279.7 Tm (affect people living in the home, the home were required to ensure that staff receive )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 265.11 Tm (appropriate training. Since March 2010, 7 members of staff have completed training in )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 250.54 Tm (dementia care awareness and 5 staff have completed training in the Mental Capacity Act. )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 235.96 Tm (When we spoke to care staff they told us that the training had been very helpful in )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 221.38 Tm (providing practical information on good ways of working with people to reduce anxiety )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 206.79 Tm (related to confusion or memory loss.)Tj ET /F2 12 Tf BT 1 0 0 1 31.8 192.21 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 31.8 177.63 Tm (The manager provided us with a record of staff training and this demonstrates that there )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 163.05 Tm (is an ongoing programme of training with further training in dementia care arranged. )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 148.48 Tm (Other recent training also includes equality and diversity.)Tj ET /F2 12 Tf BT 1 0 0 1 31.8 133.9 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 31.8 119.32 Tm (We spoke to the cook who has been working in the home for several months. The cook )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 104.74 Tm (demonstrated a good knowledge of the special dietary needs and personal food )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 90.15 Tm (preferences of people living in the home. The cook has also completed dementia )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 75.57 Tm (awareness training. There have been some changes to the menus to ensure that people )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 60.99 Tm (are offered a good choice of wholesome and freshly prepared meals. For example, there )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 46.42 Tm (are more choices for the evening meal to include light, cooked snacks as well as )Tj ET endstream endobj 14 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 15 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (6)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 529.07 16.38 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 547.36 16.38 Tm (10)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 542.46 w 31.2 513.99 m 580.26 513.99 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 786.35 m 582.46 786.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 241.64 m 582.46 241.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 787.43 m 30.07 240.56 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 787.43 m 581.38 240.56 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.8 775.41 Tm (sandwiches and cold dishes.)Tj ET /F2 12 Tf BT 1 0 0 1 31.8 760.84 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 31.8 746.26 Tm (When we visited the home in March 2010 we identified some areas of the home )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 731.67 Tm (environment that had the potential to put residents at risk, particularly people with levels )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 717.09 Tm (of confusion or frailty. For example, the laundry room was not lockable and now has a )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 702.52 Tm (lock fitted. Clinical waste and confidential notes that were previously stored in the )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 687.93 Tm (unlocked hairdressing room are now stored in the locked medication room. The fire )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 673.35 Tm (evacuation chair is now regularly checked to ensure that it is charged and ready to use in )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 658.78 Tm (the event of a fire. Care staff demonstrated that the home has procedures in place for )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 644.2 Tm (good practice to prevent infection or cross infection, for example, there are clear )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 629.61 Tm (procedures for the use of cleaning agents and storage in a locked cupboard when not in )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 615.03 Tm (use.)Tj ET /F2 12 Tf BT 1 0 0 1 31.8 600.46 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 31.8 585.88 Tm (Some of the radiators in the home do not have covers to minimise any risks to frail )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 571.29 Tm (residents who are risk of falling. We were told that these have been assessed on an )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 556.72 Tm (individual basis as part of the home's overall health and safety risk assessments. )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 542.14 Tm (However, not all of the risk assessments have been comprehensively recorded in writing )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 527.55 Tm (as required by relevant health and safety legislation.)Tj ET /F2 12 Tf BT 1 0 0 1 31.8 512.97 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 31.8 498.39 Tm (The home was recently inspected for food safety and hygiene in June 2010 and has a four )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 483.82 Tm (star \(out of five\) rating. We were told that requirements and recommendations made as a )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 469.23 Tm (result of the inspection have been complied with.)Tj ET /F2 12 Tf BT 1 0 0 1 31.8 454.65 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 31.8 440.08 Tm (In October 2009 we made a regulatory requirement for the registered person to establish )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 425.49 Tm (and maintain a system for evaluating the quality of the service provided. The manager )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 410.92 Tm (has started to use a quality assurance system that has been developed by a national care )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 396.33 Tm (provider organisation and is an ongoing process. Alongside this the home has developed )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 381.76 Tm (a system of regular audits of medication and care plans. Customer satisfaction surveys )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 367.17 Tm (are in place, and records are kept of resident meetings and staff meetings. The manager )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 352.6 Tm (keeps a complaints log of any comments, concerns or complaints that may arise and the )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 338.02 Tm (action taken in response. All of these monitoring systems are a positive demonstration of )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 323.43 Tm (a commitment to quality assurance and need to be developed and summarised to )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 308.86 Tm (demonstrate continual review and improvement.)Tj ET /F2 12 Tf BT 1 0 0 1 31.8 294.27 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 31.8 279.7 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 31.8 265.11 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 31.8 250.54 Tm ()Tj ET /F2 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 223.57 Tm (What the care home)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 175.95 223.57 Tm (does well:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 169.83 w 31.2 128.59 m 580.26 128.59 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 214.63 m 582.46 214.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 42.55 m 582.46 42.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 215.71 m 30.07 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 215.71 m 581.38 41.47 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 198.45 Tm (The home has introduced a comprehensive pre-admission process to ensure that the )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 183.87 Tm (home is able to meet the needs of people, before they move into the home. The )Tj ET /F2 12 Tf BT 1 0 0 1 524.33 183.87 Tm (pre-)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 169.29 Tm (admission)Tj ET /F2 12 Tf BT 1 0 0 1 94.37 169.29 Tm ( process provides information for a plan of care and guidance for care staff on )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 154.71 Tm (what they must do to meet the care needs of people.)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 140.13 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.05 125.54 Tm (The home has developed a person centred approach to how care is planned and provided. )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 110.96 Tm (Care records demonstrate that care plans are being reviewed and updated in consultation )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 96.39 Tm (with service users, their representatives and care staff. This means that care is provided )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 81.81 Tm (flexibly and appropriately as care needs change.)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 67.22 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.05 52.65 Tm (People living in the home receive their medication in the way that has been prescribed by )Tj ET endstream endobj 16 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 17 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (7)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 529.07 16.38 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 547.36 16.38 Tm (10)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 265.44 w 31.2 652.51 m 580.26 652.51 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 786.35 m 582.46 786.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 518.66 m 582.46 518.66 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 787.43 m 30.07 517.58 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 787.43 m 581.38 517.58 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.8 775.41 Tm (their doctor. Organised and efficient systems are now in place to ensure that all )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 760.84 Tm (medication is safely stored, dispensed or returned to the pharmacy and there is a clear )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 746.26 Tm (audit trail for all medicines.)Tj ET /F2 12 Tf BT 1 0 0 1 31.8 731.67 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 31.8 717.09 Tm (The home has employed a new cook and changes have been made to menus. We )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 702.52 Tm (received positive feedback from people living in the home about the meals and choices )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 687.93 Tm (available.)Tj ET /F2 12 Tf BT 1 0 0 1 31.8 673.35 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 31.8 658.78 Tm (The home offers residents a wide choice of communal space including 'quiet' areas, a )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 644.2 Tm (comfortable dining room, and a private and secluded garden with outdoor seating. )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 629.61 Tm (Residents told us that they had enjoyed an outing to the coast the previous week; with a )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 615.03 Tm (picnic provided by the cook, and further outings were being planned.)Tj ET /F2 12 Tf BT 1 0 0 1 31.8 600.46 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 31.8 585.88 Tm (The home employs an activities co-ordinator for three days each week. In addition, )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 571.29 Tm (residents enjoy monthly outings in suitable transport and have the opportunity to choose )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 556.72 Tm (the outings at bi-monthly resident meetings. The home offers a small shop and a )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 542.14 Tm (hairdresser visits the home, as well as a chiropodist and optician.)Tj ET /F2 12 Tf BT 1 0 0 1 31.8 527.55 Tm ()Tj ET /F2 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 500.59 Tm (What they could do better:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 283.02 w 31.2 347.89 m 580.26 347.89 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 490.52 m 582.46 490.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 205.26 m 582.46 205.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 491.6 m 30.07 204.18 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 491.6 m 581.38 204.18 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 474.34 Tm (Action has been taken to comply with regulatory requirements and demonstrate that )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 459.76 Tm (improvements have been made in the interests of people receiving a safe and organised )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 445.18 Tm (service to meet their care needs.)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 430.6 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.05 416.02 Tm (The registered persons must ensure that improvements are sustained and embedded in )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 401.44 Tm (the practice of the home. This will ensure that people can be confident that they will )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 386.86 Tm (continue to receive a service that provides good outcomes for their health and well being.)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 372.28 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.05 357.7 Tm (Some areas of the home environment are in need of upgrading, for example, the )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 343.12 Tm (bathrooms.)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 328.54 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.05 313.96 Tm (The registered persons are in the process of developing systems for monitoring all )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 299.38 Tm (aspects of the service they provide. This needs to be further developed and continually )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 284.8 Tm (reviewed to ensure that there is a constant process of internal monitoring, review and )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 270.22 Tm (improvement. This will demonstrate a commitment to ensuring a good quality service )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 255.64 Tm (where improvements are part of the ongoing process of responding to service user )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 241.06 Tm (feedback and compliance with regulatory requirements. 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( )Tj ET /F2 12 Tf BT 1 0 0 1 104.02 629.99 Tm (They say what the registered person had to do to meet the Care Standards )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 615.41 Tm (Act 2000, )Tj ET /F2 12 Tf BT 1 0 0 1 96.58 615.41 Tm ( Regulations 2001 and the National Minimum Standards.)Tj ET /F2 10 Tf BT 1 0 0 1 31.2 597.59 Tm (No.)Tj ET /F2 10 Tf BT 1 0 0 1 96.1 594.59 Tm (Standard)Tj ET /F2 10 Tf BT 1 0 0 1 202.5 594.59 Tm (Regulation)Tj ET /F2 10 Tf BT 1 0 0 1 294.6 594.59 Tm (Requirement)Tj ET /F2 10 Tf BT 1 0 0 1 479 594.59 Tm (Timescale for )Tj ET /F2 10 Tf BT 1 0 0 1 479 582.45 Tm (action)Tj ET endstream endobj 21 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 22 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F2 11 Tf BT 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The )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 538.7 Tm (registered person\(s\) must do this within the timescales we have set.)Tj ET /F2 10 Tf BT 1 0 0 1 31.2 520.88 Tm (No.)Tj ET /F2 10 Tf BT 1 0 0 1 96.1 517.88 Tm (Standard)Tj ET /F2 10 Tf BT 1 0 0 1 202.5 517.88 Tm (Regulation)Tj ET /F2 10 Tf BT 1 0 0 1 294.6 517.88 Tm (Requirement)Tj ET /F2 10 Tf BT 1 0 0 1 479 517.88 Tm (Timescale for )Tj ET /F2 10 Tf BT 1 0 0 1 479 505.73 Tm (action)Tj ET 0.95294 0.95294 0.95294 RG 110.55 w 32.32 398.77 m 564.97 398.77 l S 0.001 w 1 1 1 RG 20.58 w 31.2 354.91 m 91.05 354.91 l S 0.001 w 20.58 w 93.3 354.91 m 197.4 354.91 l S 0.001 w 20.58 w 199.65 354.91 m 566.1 354.91 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 30.07 367.4 m 30.07 342.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 367.4 m 567.22 342.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 386.73 m 568.4 386.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 366.33 m 568.3 366.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 367.4 m 92.17 342.42 l S 0.001 w [] 0 d 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623.42 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 78.9 w 25.8 581.46 m 563.3 581.46 l S 0.001 w /F2 12 Tf BT 1 0 0 1 34.05 605.84 Tm (Our duty to regulate social care services is set out in the Care Standards Act 2000.)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 591.27 Tm (Copies of the National Minimum Standards )Tj ET /F2 12 Tf BT 1 0 0 1 303.94 591.27 Tm (Care Homes for Older People can be )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 576.68 Tm (found at www.dh.gov.uk or got from The Stationery Office \(TSO\) PO Box 29, St )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 562.1 Tm (Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 547.53 Tm (the Stationery Office is also available: www.tso.co.uk/bookshop)Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 526.95 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 509.36 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 494.79 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 480.2 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 34.16 w 25.8 460.61 m 563.3 460.61 l S 0.001 w /F2 20 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 455.08 Tm (Helpline:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 20 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 420.92 Tm (Telephone:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 20 Tf BT 1 0 0 1 147.95 420.92 Tm (03000 616161)Tj ET /F2 20 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 389.27 Tm (Email:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 20 Tf BT 1 0 0 1 99.55 389.27 Tm (enquiries@cqc.org.uk)Tj ET /F2 20 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 357.61 Tm (Web: )Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 20 Tf BT 1 0 0 1 88.63 357.61 Tm (www.cqc.org.uk)Tj ET /F2 18 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 327.95 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 18 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 299.21 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 28.35 276.5 Tm (We want people to be able to access this information. If you would like a summary in a )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 259 Tm (different format or language please contact our helpline or go to our website.)Tj ET /F2 18 Tf BT 1 0 0 1 28.35 232.98 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 210.26 Tm ( Care Quality Commission 2010)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 190.26 Tm (This publication may be reproduced in whole or in part in any format or medium for )Tj ET /F2 12 Tf BT 1 0 0 1 539.47 190.26 Tm (non-)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 172.77 Tm (commercial)Tj ET /F2 12 Tf BT 1 0 0 1 97.55 172.77 Tm ( purposes, provided that it is reproduced accurately and not used in a )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 155.27 Tm (derogatory manner or in a misleading context. 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Data The Monotype Corporation plc/Type Solutions Inc. 1990-1992. All Rights Reserved %%CreationDate: Fri Oct 10 11:48:26 2008 % Converted from TrueType font 'TIMES.TTF' by ttf2pt1 program % %%EndComments 12 dict begin /FontInfo 9 dict dup begin /version (Version 2.76) readonly def /Notice (Typeface The Monotype Corporation plc. Data The Monotype Corporation plc/Type Solutions Inc. 1990-1992. All Rights Reserved) readonly def /FullName (Times New Roman) readonly def /FamilyName (Times New Roman) readonly def /Weight (Regular) readonly def /ItalicAngle 0.000000 def /isFixedPitch false def /UnderlinePosition -109 def /UnderlineThickness 49 def end readonly def /FontName /TimesNewRomanPSMT def /PaintType 0 def /StrokeWidth 0 def /FontType 1 def /FontMatrix [0.001 0 0 0.001 0 0] def /FontBBox {-77 -216 1009 877} readonly def /Encoding 256 array dup 0 /.notdef put dup 1 /.notdef put dup 2 /.notdef put dup 3 /.notdef put dup 4 /.notdef put dup 5 /.notdef put dup 6 /.notdef put dup 7 /.notdef put dup 8 /.notdef put dup 9 /.notdef put dup 10 /.notdef put dup 11 /.notdef put dup 12 /.notdef put dup 13 /.notdef put dup 14 /.notdef put dup 15 /.notdef put dup 16 /.notdef put dup 17 /.notdef put dup 18 /.notdef put dup 19 /.notdef put dup 20 /.notdef put dup 21 /.notdef put dup 22 /.notdef put dup 23 /.notdef put dup 24 /.notdef put dup 25 /.notdef put dup 26 /.notdef put dup 27 /.notdef put dup 28 /.notdef put dup 29 /.notdef put dup 30 /.notdef put dup 31 /.notdef put dup 32 /space put dup 33 /exclam put dup 34 /quotedbl put dup 35 /numbersign put dup 36 /dollar put dup 37 /percent put dup 38 /ampersand put dup 39 /quotesingle put dup 40 /parenleft put dup 41 /parenright put dup 42 /asterisk put dup 43 /plus put dup 44 /comma put dup 45 /hyphen put dup 46 /period put dup 47 /slash put dup 48 /zero put dup 49 /one put dup 50 /two put dup 51 /three put dup 52 /four put dup 53 /five put dup 54 /six put dup 55 /seven put dup 56 /eight put dup 57 /nine put dup 58 /colon put dup 59 /semicolon put dup 60 /less put dup 61 /equal put dup 62 /greater put dup 63 /question put dup 64 /at put dup 65 /A put dup 66 /B put dup 67 /C put dup 68 /D put dup 69 /E put dup 70 /F put dup 71 /G put dup 72 /H put dup 73 /I put dup 74 /J put dup 75 /K put dup 76 /L put dup 77 /M put dup 78 /N put dup 79 /O put dup 80 /P put dup 81 /Q put dup 82 /R put dup 83 /S put dup 84 /T put dup 85 /U put dup 86 /V put dup 87 /W put dup 88 /X put dup 89 /Y put dup 90 /Z put dup 91 /bracketleft put dup 92 /backslash put dup 93 /bracketright put dup 94 /asciicircum put dup 95 /underscore put dup 96 /grave put dup 97 /a put dup 98 /b put dup 99 /c put dup 100 /d put dup 101 /e put dup 102 /f put dup 103 /g put dup 104 /h put dup 105 /i put dup 106 /j put dup 107 /k put dup 108 /l put dup 109 /m put dup 110 /n put dup 111 /o put dup 112 /p put dup 113 /q put dup 114 /r put dup 115 /s put dup 116 /t put dup 117 /u put dup 118 /v put dup 119 /w put dup 120 /x put dup 121 /y put dup 122 /z put dup 123 /braceleft put dup 124 /bar put dup 125 /braceright put dup 126 /asciitilde put dup 127 /.notdef put dup 128 /Euro put dup 129 /.notdef put dup 130 /quotesinglbase put dup 131 /florin put dup 132 /quotedblbase put dup 133 /ellipsis put dup 134 /dagger put dup 135 /daggerdbl put dup 136 /circumflex put dup 137 /perthousand put dup 138 /Scaron put dup 139 /guilsinglleft put dup 140 /OE put dup 141 /.notdef put dup 142 /.notdef put dup 143 /.notdef put dup 144 /.notdef put dup 145 /quoteleft put dup 146 /quoteright put dup 147 /quotedblleft put dup 148 /quotedblright put dup 149 /bullet put dup 150 /endash put dup 151 /emdash put dup 152 /tilde put dup 153 /trademark put dup 154 /scaron put dup 155 /guilsinglright put dup 156 /oe put dup 157 /.notdef put dup 158 /.notdef put dup 159 /Ydieresis put dup 160 /space put dup 161 /exclamdown put dup 162 /cent put dup 163 /sterling put dup 164 /currency put dup 165 /yen put dup 166 /brokenbar put dup 167 /section put dup 168 /dieresis put dup 169 /copyright put dup 170 /ordfeminine put dup 171 /guillemotleft put dup 172 /logicalnot put dup 173 /hyphen put dup 174 /registered put dup 175 /overscore put dup 176 /degree put dup 177 /plusminus put dup 178 /twosuperior put dup 179 /threesuperior put dup 180 /acute put dup 181 /mu1 put dup 182 /paragraph put dup 183 /periodcentered put dup 184 /cedilla put dup 185 /onesuperior put dup 186 /ordmasculine put dup 187 /guillemotright put dup 188 /onequarter put dup 189 /onehalf put dup 190 /threequarters put dup 191 /questiondown put dup 192 /Agrave put dup 193 /Aacute put dup 194 /Acircumflex put dup 195 /Atilde put dup 196 /Adieresis put dup 197 /Aring put dup 198 /AE put dup 199 /Ccedilla put dup 200 /Egrave put dup 201 /Eacute put dup 202 /Ecircumflex put dup 203 /Edieresis put dup 204 /Igrave put dup 205 /Iacute put dup 206 /Icircumflex put dup 207 /Idieresis put dup 208 /Eth put dup 209 /Ntilde put dup 210 /Ograve put dup 211 /Oacute put dup 212 /Ocircumflex put dup 213 /Otilde put dup 214 /Odieresis put dup 215 /multiply put dup 216 /Oslash put dup 217 /Ugrave put dup 218 /Uacute put dup 219 /Ucircumflex put dup 220 /Udieresis put dup 221 /Yacute put dup 222 /Thorn put dup 223 /germandbls put dup 224 /agrave put dup 225 /aacute put dup 226 /acircumflex put dup 227 /atilde put dup 228 /adieresis put dup 229 /aring put dup 230 /ae put dup 231 /ccedilla put dup 232 /egrave put dup 233 /eacute put dup 234 /ecircumflex put dup 235 /edieresis put dup 236 /igrave put dup 237 /iacute put dup 238 /icircumflex put dup 239 /idieresis put dup 240 /eth put dup 241 /ntilde put dup 242 /ograve put dup 243 /oacute put dup 244 /ocircumflex put dup 245 /otilde put dup 246 /odieresis put dup 247 /divide put dup 248 /oslash put dup 249 /ugrave put dup 250 /uacute put dup 251 /ucircumflex put dup 252 /udieresis put dup 253 /yacute put dup 254 /thorn put dup 255 /ydieresis put readonly def currentdict end currentfile eexec oc;jtD[2^t$cdreYjRZb@e F>" F+$l `v .H֢T)&wa{vIt%Նswg,lonrMWWIZ7p6\5JHrtPb E~1Cew|;d}Tym8 B TcJ6*]h[zeKq)ƷW0jlBIf14%B[tnqNOדe{fC;1I^7^r5=[ySwF 5ZUͧ@;J7{Phx ғ*⿅΅V1lCd3Dk9+ ~Iic*x 2YC.eKgt_"t!Ztb$~iS[xdw +P7)%g9/-awT=JK/{ Q'y!kA,7 Α$?H}Om"s*5aks*HRUufn6i?kɝ=-0X%lϧQ4ݡ`rџ~D&#&:t]=.ok &DZђԺŠRq [j@3a*42K]sjϖjG_n 4Ϛ5. *Ly^w`ܮ64r/:!?u:};ߜ`dӤJY2R'wbTCI2CRNY2uD-.Y9y:2Cʸ`ͻq5dBpQŰ: TimM;f ]+ozY0,(Fh^ GirY E W| -R̵vVP ce޾'zH+1= PU~}fIa TY˞߹NC!RhUeySNqEobm"QQL!H0agylrҳxc: HWmֻDc,A';{ 8rnGMGduDcb ʮ_`gJuDQO>c٨~b_s/%~`/ 8Ayq. -v -%=6 ̟sjՊ6a FZ#Ԉeֆ1TRwY Կ'$s|I9ƲRM&89>N ]<3z h_/-|UN%b=̱ IuȌ>pq-t<.4Pk2\1Ko7fXH%<#+nUU[D-Jeʤvɴ;\G?W<}eH}p?_F5$wG.~< J s]tY 6Xk6UNJRg_pZ=܌JR(lh9ҥӏjwb"MF&纺ÄjhjX,Ƒwjnd-4:$fN4IyFNgXٺmS`d'G8^Ir1[cÎ$-0[d]v2O8͸\GQk_Y\2\Gp2i2^cT:ʲ 9,]YnZh?35Ƴ2Y_F]ùD"=RI:3?Gv9p= K.~hZo!Y&Bn7kECVsEvpԛt3Qk{% 񚡽ACIG#-"Uo| qB:` h͑p>gϒe$P*[!{}#1p%,H'ɷz[0 }3"" u'~Tɗϛ}:>1PQApt & / XJ4%dha ?$] |67A U)>4q Q3Kn|n  uL1tNpZB?)sWxbpi⩢խd_ŏ<\Y@D\_߰17Q"ݚ}Ž^FGW5߀klZ5srĿLZ"R"[STl(#9˳;/:7Hz4MM S^f FH|ݽ0NQy@`\|fȊP)^uĖs4$ m1*.١.fU Q>\( d{hk}%$fm aS5&i%)LdTz7&Nl$ vM?O]پ,/KTbx`~/3Ks8kÜ' CsBCY;qrRș^.[`gҪ]┛o}8H#H/g\?}7Y#*ZV PvO߃ ~bXaAI`CD ҷDO[(1YBo*uKYlLђDi6Y0@̗Ōy 0W s$}FD=-Y'r3EUð7mN/I$K̳ܨ=h!ۧ {H™Naqm*}h8だ3N++kyhB^gRţ-LjQ9h% s6?FnAnٽ6t6LMlt&n'#i^)֤0)G7a;]U@d#1Mn$]mU}iigTQ5=80"Ӯ2sl`ݗַc%7Ɉʝ;.7Rҿ¸>~ot"IģqWu)b,mXT=s5c؊m{6|HlsI%ر95Oq2&宠9hbLTu˷| iHKC6 Dί!isaX4r]Clq )_Ħr98y&XZ%.ЏB'$9.Htxl8s~*lq}rM⹟8_j_V~%)_EW_K/3ND^3BpGݩ|G9jS6@`'XȽ$` Y&ypCeֳHΪFzjt) 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